对复杂的Bouveret综合征的管理
Priya Ranjan1, Vijay Chetan Jha2, Prashant Gopal3
1Gastrointestinal Surgery, Army Hospital (Research and Referral), New Delhi, Delhi, India.
BMJ case reports
|June 18, 2024
概括
由于胆结石导致的胃出口阻塞的罕见原因,布韦雷综合征的治疗可能具有挑战性. 当内镜方法失败时,通过阴肠切除术的手术干预被证明是有效的.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
背景情况:
- 布韦雷综合征是胃出口阻塞的罕见原因.
- 它是由于胆结石通过胆囊胃或胆囊双胆管进入十二指肠的结果.
研究的目的:
- 举例来说,Bouveret综合征的病例是通过手术干预来管理的.
- 在内镜方法失败时,强调对受影响的十二指肠胆结石的替代治疗方法.
主要方法:
- 一名70岁的女性患者出现了胃出道阻塞的症状.
- 诊断成像证实一个大的胆结石 (5厘米) 阻碍了十二指肠的第三部分,与布维雷特综合征一致.
- 在未成功的内镜试验后,进行了手术内切除术以进行胆结石碎片化和提取.
主要成果:
- 大十二指肠胆结石的内镜提取没有成功.
- 腹腔镜直肠肠切除术促进了胆结石的成功碎片化和切除.
- 患者经历了一个无事件的术后恢复.
结论:
- 当内镜治疗失败时,外科肠切除术是对布韦雷综合征的可行和有效治疗方法.
- 这一案例强调了考虑手术选择对于导致十二指肠阻塞的大型或受影响的胆结石的重要性.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
57
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84
Chronic Bowel Disorders: Introduction
440
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
440
Peptic Ulcer Disease V: Surgical Management and Nursing Care
287
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
287


